HCA 220 Research benefits for Preferred Provider (PPO)
Explanation
of Benefits
Research benefits for Preferred Provider (PPO) Health Management (HMO) and
Managed Care (MCO) organizations. What is the difference between the plans?
What are five key pieces of information most important for patients to know?
How can you explain the benefits to a patient for an office visit and a
procedure? Write a one page brochure or informational document for explanation
of benefits to patients. A comparison chart is also acceptable. Cite your
sources for information
Common Codes
Use Internet resources and identify the top five codes for a family practice,
emergency room, and a specialist (any one is fine).
Comparison Chart
Create a chart comparing ICD-9 books and chapters to ICD-10 books and chapters.
Use Internet resources to create.
Certification
Identify the certification body providing the exam you will be taking. Identify
the requirements to take the certification. Download the content outline or
blueprint and review for content covered in completed courses.
Fraudulent
Practices Research
Using the Internet as a research source, go to your state’s website for the
Department of Health. Research the laws that apply to billing for medical
services in your state. Create a list of laws that are relevant to the issue of
fraudulent practices in billing and coding
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Solution: HCA 220 Research benefits for Preferred Provider (PPO)